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Organization

MINIMALLY INVASIVE SURGERY CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BURHAN HALEEM DO (CFO)
(855) 727-2465
Entity
Organization

Contact information

Practice address
1801 NEW RD, LINWOOD, NJ 08221-1036
(609) 653-3055
(609) 653-8469
Mailing address
1801 NEW RD, LINWOOD, NJ 08221-1036
(609) 653-3055
(609) 653-8469

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001498000
AMERIHEALTH PROVIDER ID
NJ
05
0535729
NJ
01
311127
HORIZON PROVIDER ID
NJ
Enumeration date
05/25/2006
Last updated
12/07/2022
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